Individual provider · Type 1 NPI
Mark Daniel Johnson, PA-C
Surgical Physician Assistant · Oklahoma City, OK
NPI number
1508855677
Active
Practice location
13401 N Western Ave Ste 301
Oklahoma City, OK 73114-1411
Fax (405) 360-6769
Mailing address
3400 W Tecumseh Rd, Ste 101
Norman, OK 73072-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 485 (OK) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
Other surgical physician assistant providers in Oklahoma City
- Katrina Stewart, PA-CSurgical Physician Assistant Oklahoma City, OK NPI 1013339696
- Nicholas Suppes, PA-CSurgical Physician Assistant Oklahoma City, OK NPI 1033031497
- Amanda Lynn Knowles, PA-CSurgical Physician Assistant Oklahoma City, OK NPI 1033179106
- Gerrie L. Climer, PA-CSurgical Physician Assistant Oklahoma City, OK NPI 1063453017
- Dustin Wagner, PASurgical Physician Assistant Oklahoma City, OK NPI 1093453565
- Dawn Michelle Cowan, PA-CSurgical Physician Assistant Oklahoma City, OK NPI 1093988461
- Morgan Hanni, PA-CSurgical Physician Assistant Oklahoma City, OK NPI 1104216662
- Kristin Strong, PA-CSurgical Physician Assistant Oklahoma City, OK NPI 1104648500
About NPI 1508855677
Mark Daniel Johnson, PA-C's National Provider Identifier is 1508855677, issued on Oct 20, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 26, 2018.